A study by Roth et al. (2026) examined signal loss in external cardiotocography (CTG) during labor, revealing significant gaps in heart rate recordings. Findings indicated no clear correlation between these gaps and adverse outcomes for babies, challenging common beliefs about continuous monitoring.
Intermittent auscultation is a logical, evidence-based option for many women. But many women struggle to access it. New research provides insights about why that is the case in the UK – and offers some fairly easy to change possibilities to remove barriers.
While there’s some debate in the world of fetal physiology about the meaning of fetal heart rate variability – it is widely considered to be useful information. Are women who choose intermittent auscultation missing out on their care provider knowing what the variability of the heart rate is? Or is there a way to determine this…
Central fetal monitoring is sneaking its way in pretty much everywhere. Lots of people love it. Here are some of the reasons I have serious concerns about it…
Accurate information is essential for informed decision-making in fetal monitoring conversations. The myth that there is no, or very little, research about CTGs in population of women at higher risk has popped up again. Here’s the real story…
There are some major limitations of continuous CTG monitoring during labour. Recent studies exploring fetal heart rate and contraction patterns fail to identify patterns that reliably predict problems. Maybe we need to stop and head in a different direction altogether…
Central fetal monitoring systems, adopted globally, consolidate data on fetal heart rates and uterine contractions for real-time display. A Swedish study compared outcomes during traditional and central monitoring. No significant differences in metabolic acidosis or neonatal outcomes were found. Instrumental birth rates fell, likely due to revised guidelines, questioning the investment in central monitoring without definitive improvements.
Postpartum bleeding poses significant health risks. The WOMAN-2 trial found higher postpartum haemorrhage rates with episiotomy. CTG use could be driving up the rate of heavy bleeding – but what does the research say?
Comment BLOG and I’ll send you a link so you can find out.
This study explored women’s experiences with antenatal CTG monitoring and their understanding of its purpose. It revealed limited information was shared by healthcare professionals, leading to inadequate informed consent. It’s a great reminder of how important it is to have access to accurate information that supports decision-making regarding fetal monitoring.
Let’s talk about the history of how CTG use rose to prominence in maternity care. It has something to do with ultrasounds, moon exploration, washing machines, President Kennedy’s son, and husbands in birth rooms…
Birth Small Talk 